Season 5 Case 3
Case 3
History: ICU AM portable

Answer:
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Just in case you didn’t notice the crescentic lucency in the left lung base, the left costophrenic sulcus is wider and deeper than normal.
ie: Left subpulmonic pneumothorax with deep sulcus sign
reference: http://radiopaedia.org/articles/deep-sulcus-sign or http://www.learningradiology.com/notes/chestnotes/deepsulcussign.htm